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All Journal Jurnal Respirasi (JR)
Sabirin, Rahmaningsih Mara
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Health Professions Medicine & Pharmacology Public Health

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Comparison of Forced Expiratory Flow (FEF) 25-75% between Post-COVID-19 Patients with Different Severity at Universitas Gadjah Mada Academic Hospital Khidir, Muhammad; Siswanto, Siswanto; Rasena, Henda Ageng; Iqbal, Roihan Mohamad; Sabirin, Rahmaningsih Mara; Wibowo, Rakhmat Ari; Rasyid, Sani Hadiyan
Jurnal Respirasi Vol. 10 No. 1 (2024): January 2024
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v10-I.1.2024.23-29

Abstract

Introduction: Shortness of breath is the most distressing long COVID-19 symptom associated with the decline of small airway function, as shown by a decrease in forced expiratory flow (FEF) 25-75% value in the spirometry test. This study aimed to compare FEF 25-75% values as a predictor of small airway disease between mild-moderate and severe-critical long COVID-19 patients. Methods: This study used a prospective cohort design that included 24 post-hospitalized COVID-19 patients who came to the long COVID-19 clinic at Universitas Gadjah Mada Academic Hospital (UGM AH), Yogyakarta. The subjects were divided into mild-moderate and severe-critical groups based on the World Health Organization (WHO) classification. The subjects were tested for spirometry three months after the onset of COVID-19 symptoms. The comparison of both severity groups used the percent prediction of FEF 25-75% spirometry results. The value was interpreted as abnormal if the predicted FEF 25-75% value was below 65%. Results: There were three (25%) and two (16.67%) subjects with FEF 25-75% predicted below normal values in the mild-moderate and severe-critical groups consecutively, which showed a decline in small airway function. This study showed no statistically significant differences (p-value = 0.882) between the means of FEF 25-75% predicted values of the two groups. Conclusion: A small proportion of post-COVID-19 syndrome patients had small airway disease, and there were no statistical differences in small airway function between the groups.
The Effects of Inspiratory Muscle Training in Lung Cancer Patients: A Scoping Review Kadir, Yolanda; Sabirin, Rahmaningsih Mara; Hasyim, Ammar Abdurrahman; Iqbal, Roihan Mohamad; Siswanto, Siswanto
Jurnal Respirasi Vol. 11 No. 1 (2025): January 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.1.2025.75-82

Abstract

Introduction: Lung cancer is the leading cause of cancer worldwide, with a high mortality rate. Chronic dyspnea promotes a pathologic cycle of decreased activity, which has been shown to limit exercise tolerance and deteriorate quality of life (QoL). Inspiratory muscle training (IMT) is a resistance-based exercise regimen that aims to improve the strength and endurance of the inspiratory muscles, thereby reducing respiratory symptoms. This study aimed to comprehensively review the possible beneficial effects of IMT on various aspects of lung cancer patients. Methods:  The PubMed, Embase, and Cochrane databases were searched from inception to 20 May 2024. All clinical trials examining the impact of IMT on lung cancer patients, utilizing either quantitative or qualitative approaches, were included. The extracted data were then descriptively presented, focusing on the main themes to provide a comprehensive literature review. Results: This scoping review identified 9 unique studies comprising eight randomized-controlled trials and one retrospective cohort study with 460 lung cancer patients. An IMT regimen was proven to reduce sedentary behavior and significantly improve physical activity and health-related quality of life (HRQL). Furthermore, the IMT program reduced dyspnea, improving maximum inspiratory pressure (PImax) and 6-minute walking test (6MWT). It also provided the benefits of shorter postoperative stay and reduced patient distress concerning dyspnea. Conclusion: Inspiratory muscle training provides several benefits, including improvements in dyspnea indexes, exercise tolerance, and overall HRQL. Further studies are required to determine the optimal IMT regimen for this special population.
Co-Authors Hasyim, Ammar Abdurrahman Iqbal, Roihan Mohamad Kadir, Yolanda Khidir, Muhammad Rasena, Henda Ageng Rasyid, Sani Hadiyan S Siswanto Wibowo, Rakhmat Ari